Individual
RUSSELL KEITH HO LEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9014 N 23RD AVE STE 8, PHOENIX, AZ 85021-2854
(602) 861-3339
(602) 861-3280
Mailing address
9014 N 23RD AVE STE 8, PHOENIX, AZ 85021-2854
(602) 861-3339
(602) 861-3280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0933310
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/12/2006
Last updated
05/25/2016
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